Employers' Annual Reconciliation Of License Fee/tax Withheld Form printable pdf download

WARREN COUNTY SCHOOLS OCCUPATIONAL TAX

Fax No. (270) 842-3411

Phone No. (270) 842-7168

303 Lovers Lane, Bowling Green, KY 42103

EMPLOYERS' ANNUAL RECONCILIATION OF

LICENSE FEE/TAX WITHHELD

Social Security # or

Account #:

_________________________________

Federal ID #:

________________________

Print Name & Address of Employer:

For Year Ended

Month

Day

Year

Phone #:

_______________________

Email Address:

___________________________________________

WITHHOLDING PAYMENT SCHEDULE

Jan

April

July

Oct

Feb

May

Aug

Nov

June or

Sept or

Dec or

March or

2nd Qtr

3rd Qtr

4th Qtr

1st Qtr

Total Payments

Number of Employees:

FEE COMPUTATION

*****IMPORTANT****

Total Wages, Tips, Other Compensation per Box 1 of Federal Form W-

1.)

APPROPRIATE

2 or W-3

SCHEDULES MUST

2.)

Add: Deferred Compensation Contributed by Employees (i.e.,

BE ATTACHED

retirement, profit sharing, deferred compensation plans, cafeteria plans,

etc.)

Enclose Copies of

3.)

Add: Welfare Benefit, Fringe Benefit, or Other Benefit Plan Payments

Federal Forms W-2 and

Contributed by an Employee

W-3, Transmittal of

Wage and Tax

4.) Total Gross Compensation (Add Lines 1 through Line 3)

Statements, or a

Detailed Employee

5.) Less: Total Gross Compensation Paid for Service Outside of Warren

Listing with the

County, Kentucky and/or Gross Nonresident Compensation

Required Equivalent

6.) Taxable Compensation (Subtract Line 5 from Line 4)

Information

Occupational License Fee (Line 6 X .005)

7.)

DUE

FEBRUARY 28

8.) Total Payments Remitted

Remit To:

9.) Balance Due (If Line 7 Exceeds Line 8 = Line 7 Minus Line 8)

Warren County

Schools Quarterly Tax

10.) Penalty @ 5% per month (not to exceed 25%; Minimum $25)

Return

P.O. Box 890947

Charlotte, NC

11.) Interest @ 1% per month from Due Date

28289-0947

12.) TOTAL AMOUNT DUE (Line 9 Plus Lines 10 and 11)

Website:

13.) Overpayment Claimed (If Line 8 exceeds Line 7)

Occupational Tax Office Link

Refund

Credit to next year estimated payment

RETURN MUST BE SIGNED

- I hereby certify, under penalty of perjury, that the statements made herein and in any supporting schedules are true, correct, and complete to the

best of my knowledge.

SIGNATURE

TITLE

DATE

Employers' Annual Reconciliation Of License Fee/tax Withheld Form

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